综合康复干预对肠易激综合征患者心理状况的影响

Objective To study the incidence rate of anxiety and depression about the IBS, and the psychological effect of comprehensive rehabilitation intervention for IBS. Methods A questionnaire survey was conducted among 100 outpatients and 20 inpatients with IBS by using SAS and SDS. The incidence rate of anxiety and depression was studied, then the patients suffering from anxiety and depression were treated with comprehensive rehabilitation intervention for three months. The scores of SAS and SDS were recorded before and after treatment Results Of all the 120 IBS, the incidence rate of anxiety was 26.7%, and the incidence rate of depression was 25.0%. To the anxiety and depression ones, the SAS and SDS scores were reduced obviously (P＜0.05) . Conclusions Comprehensive rehabilitation intervention can enhance the quality of life by reducing the incidence rate of anxiety and depression of IBS.     

综合康复干预对肠易激综合征患者心理状况的影响

Objective To study the incidence rate of anxiety and depression about the IBS, and the psychological effect of comprehensive rehabilitation intervention for IBS. Methods A questionnaire survey was conducted among 100 outpatients and 20 inpatients with IBS by using SAS and SDS. The incidence rate of anxiety and depression was studied, then the patients suffering from anxiety and depression were treated with comprehensive rehabilitation intervention for three months. The scores of SAS and SDS were recorded before and after treatment Results Of all the 120 IBS, the incidence rate of anxiety was 26.7%, and the incidence rate of depression was 25.0%. To the anxiety and depression ones, the SAS and SDS scores were reduced obviously (P＜0.05) . Conclusions Comprehensive rehabilitation intervention can enhance the quality of life by reducing the incidence rate of anxiety and depression of IBS.     

高龄脑卒中患者康复治疗失败的原因分析

BACKGROUND:The disablement rate of patients after stroke remains high,which perhaps is associated with the factor that many patients cannot get timely and reasonable rehabilitation treatment and the factor that some medical staff pay attention to treatment but ignore early rehabilitation treatment.     

脑出血术后偏瘫肢体的康复干预

Background: Disability rate following brain hemorrhage surgery always remains high. In recent years, postoperative rehabilitation intervention became the hot topic in clinic. Not only emergent treatment but quality of life should be emphasized for patients with brain hemorrhage. The objective of rehabilitation treatments was to reduce family and society load and improve self care ability. Rehabilitation interventions could significantly recover limbs function and reduce incidence of abnormality.     

早期康复护理对脑卒中患者日常生活能力的影响

INTRODUCTION Recently,death rate of stroke acute stage decreased dramatically due to improvement of diagnosis,salvage and treatment in cerebral vascular.However,mutilation rate increased.In order to relieve disable and improve ability of daily life in stroke patients,early rehabilitation care should be taken in acute stroke patients to get better effects.     

综合康复干预对肠易激综合征患者心理状况的影响

目的 探讨肠易激综合征(IBS)患者焦虑、抑郁的发生率及综合康复干顶对IBS患者心理状况的影响.方法 采用Zung焦虑自评量表(SAS)及抑郁自评量表(SDS)对100例门诊及20例住院的肠易激综合征患者进行问卷调查,了解其焦虑、抑郁的发生率;并对存在焦虑、抑郁的患者进行综合康复护理干预3个月,并对干预前后焦虑、抑郁情况进行评价.结果 120例肠易激综合征患者焦虑发生率为26.7%、抑郁的发生率为25.0%;对存在焦虑、抑郁的患者,干预后与干预前比较,SAS及SDS评分明显降低(P＜0.05).结论 肠易激综合征患者焦虑、抑郁的发生率高,给予综合康复干预,可明显降低患者焦虑、抑郁症状,有利于肠易激综合征患者康复,提高其生活质量.

Abstract：

Objective To study the incidence rate of anxiety and depression about the IBS, and the psychological effect of comprehensive rehabilitation intervention for IBS. Methods A questionnaire survey was conducted among 100 outpatients and 20 inpatients with IBS by using SAS and SDS. The incidence rate of anxiety and depression was studied, then the patients suffering from anxiety and depression were treated with comprehensive rehabilitation intervention for three months. The scores of SAS and SDS were recorded before and after treatment Results Of all the 120 IBS, the incidence rate of anxiety was 26.7%, and the incidence rate of depression was 25.0%. To the anxiety and depression ones, the SAS and SDS scores were reduced obviously (P＜0.05) . Conclusions Comprehensive rehabilitation intervention can enhance the quality of life by reducing the incidence rate of anxiety and depression of IBS.     

早期促通疗法对脑卒中患者运动功能的影响

INTRODUCTION The incidence,handicapping and fatality of cerebrovascular accidence (CVA) are high.Preventing complications and sequela, promoting function recovery, using remaining function adequately and regulating psychic state can promote patients self- care ability.     

早期康复治疗对脑卒中后抑郁的影响

INTRODUCTION Post stroke depression (PSD), the commonly observed complication of cerebrovascular diseases, seriously affectspatients' function, re-covery and life, leading to self injury or suicide. Early rehabilitation therapy is beneficial for functional recovery, reduction of disability rate, improvement of quality of life and relief of pain, thus reducing incidence of depression.     

脑卒中患者心理康复程序的探讨

China is one of the nations and areas where the cerebral apoplexy occurs in highest incidence rate.Different degree of neurologic impairment is found in approximately 40％ patients with cerebral apoplexy.The early and reasonable rehabilitative therapy can reduce the incidence rate of sequela,enhance the patients' quality of life and in addition and lighten the burden of families and society.Psychological rehabilitation should be introduced when the physiological function is recovered,or even earlier than physiological therapeutical proceeding was applied,and it is supposed to run through the entire course of physiological recovery.The following texts focus mainly on the psychological issues of patients in different stages and conditions after cerebral apoplexy.     

影响肾移植术后康复因素的影像学诊断价值

LNTROD UCTION Survive rate of renad transplantation is very high, but in the courseof postoperative clinical rehabilitation, pulmonary inffection is oftencompllcated due long-term administration of immunesuppressivedrugs. First diagnosisfor pulmonary rnfection is easy, but furtherdiagnosis of pathogen and evaluation of clinical therapeutic effectare difficult. Imaging examination play an important role in diag-nosis.     

Ostomy care and rehabilitation in colorectal cancer

OBJECTIVES: To review ostomy care in colorectal cancer, current trends in assessment, management, and treatment, and the role of the enterostomal therapy (ET) nurse in cancer care. DATA SOURCES: Published literature and the author's clinical experiences in ostomy wound care. CONCLUSION: Care of the patient with colorectal cancer requiring an ostomy involves both physical and psychological rehabilitation. The education and skills of an ET/wound, ostomy, and continence (WOC) nurse can provide a valuable service to the patient/family, surgeon, oncology nurse, and other health care providers. IMPLICATIONS FOR ONCOLOGY NURSES: An ostomy is not a handicapping procedure. Living well with a colostomy can be achieved through proper patient preparation, education, and planning. Provision of individualized comprehensive care facilitates physical and psychological rehabilitation.     

The rehabilitation of disabled Native Americans

The Native American population remains a special ethnic group in the United States that is overrepresented at the lower end of the socioeconomic scale, with a suspected greater than average rate of disabling conditions. Utilization of rehabilitation services by adult Native Americans was studied. Three years of Rehabilitation Services Administration (RSA) data were analyzed to compare the rehabilitation success rate of Native Americans with that of all other population groups. Native Americans were significantly less likely to be rehabilitated than clients from the general population. Factors contributing to the poor rehabilitation of Native Americans were analyzed. Three factors identified as significant were the socioeconomic characteristics of the clients, the type of disabilities presented by the clients, and the inability of the counselors to locate clients and complete the rehabilitation plan. Recommendations for improving the rehabilitation of Native Americans are discussed.     

COPD患者肺康复护理干预现状

肺康复是慢性阻塞性肺疾病(COPD)非药物治疗的重要干预手段,提高肺康复的实施率对缓解COPD患者的疾病负担和经济负担具有重要意义。本文主要从肺康复概念和发展概况、COPD肺康复干预实施的时机、场所、评估评价和措施,以及COPD患者肺康复实施的影响因素等进行综述,以期了解肺康复干预的现状,为肺康复的临床护理实践和肺康复护理研究提供指导,以获得COPD肺康复干预的最优方案。     

Results of statutory rehabilitation measures in Germany

The success of medical rehabilitation measures taken by the LVA Oberfranken and Mittelfranken in 1984 was scrutinized for 12,291 insured people. The criteria for evaluating success were the state of health of the insured persons before rehabilitation and at one month and one year afterwards. Two thirds of the insured persons were at work again one month after discharge from rehabilitation. One year after rehabilitation 14 per cent received a disablement pension. Only every second person insured who was ill before rehabilitation took up work again afterwards. Most of the insured people who were already receiving a pension before rehabilitation continued to receive their pension afterwards (86 per cent). The highest rate of inability to work and also the highest pension rate is found with insured persons suffering from an ischaemic cardiac disease. Only 33 per cent of these persons resume work after rehabilitation.     

康复护理对脑卒中后失眠患者睡眠质量影响的研究

目的观察康复护理对脑卒中后失眠患者睡眠质量的影响。方法将120例脑卒中后失眠患者随机分为常规护理组和康复护理组各60例。常规护理组给予常规护理,康复护理组组在常规护理的基础上,给予康复护理。治疗前后采用匹兹堡睡眠质量指数量表（PSQI）观察患者睡眠指标的变化。结果疗程结束后,常规护理组治疗总有效率为55．0％,康复护理组治疗总有效率为91．7％,康复护理组的治疗有效率明显高于常规护理组。结论康复护理能有效改善脑卒中后失眠,提高患者的睡眠质量。     

运动康复路径在老年慢性心力衰竭患者运动康复中的应用

目的探讨运动康复路径在老年慢性心力衰竭患者运动康复中的应用效果。方法采用随机数字表法,将100例老年慢性心力衰竭患者分为研究组和对照组,每组各50例,对照组实施常规护理,研究组采用运动康复路径对患者实施康复运动干预。观察患者各项心功能指标情况和再住院率。结果经过康复运动后,研究组患者左室射血分数(left ventricular ejection fraction,LVEF)、左心室舒张末容积(left ventricular volume index of diastolic end,LVEDV)、左心室收缩末容积(left ventricular endystolic volume,LVESV)均优于干预前和对照组;6min步行距离大于干预前和对照组;再住院率低于对照组(均P0.05)。结论实施运动康复路径可提高老年慢性心力衰竭患者康复运动的主动性和积极性,进而有效改善老年慢性心力衰竭患者的心功能,提高患者运动耐力,降低再住院率,促进患者康复。     

分阶段康复指导计划在全膝关节置换术后患者康复中的应用效果的研究

目的探讨分阶段康复计划在全膝关节置换术后患者康复中的应用效果。方法将本院收治的80例全膝关节置换术的患者随机分为观察组和对照组,对照组术后给予常规康复训练,观察组给予分阶段康复指导,比较2组的康复积极性、术后膝关节功能和生活能力的恢复情况。结果观察组对康复的需求程度、依从程度、配合程度等康复积极性均高于对照组,差异有统计学意义(P0.05)。观察组术后膝关节功能评分、生活能力评分,膝关节功能优良率高于对照组,差异有统计学意义(P0.05)。结论分阶段康复指导计划能够提高膝关节置换术患者的康复积极性,改善术后膝关节功能和生活能力的恢复程度,值得推广。     

脑性瘫痪康复的主要途径探讨

目的：探讨综合康复治疗脑性瘫痪（ 脑瘫） 的疗效。方法：在社区运用综合康复手段治疗脑瘫９０ 例,并与在资源中心治疗的７８ 例比较。结果：１６８ 例总有效率９０ ．５ ％ ,社区组９１．０％ ,资源组８９ ．９ ％ ,疗效相似;平均疗程社区组为６．３,资源组为３．５,后者疗程缩短优于前者（ Ｐ＜ ０ ．０１） ;而显效率社区组为５８．８％ ,资源组为３２ ．１ ％ ,前者优于后者（ Ｐ＜ ０ ．０５） 。结论：社区康复和家庭参与为脑瘫康复的一种主要途径。     

康复器械在偏瘫患者肢体功能恢复中的应用

背景：大脑组织的可塑性和功能重组是偏瘫康复治疗的理论基础.偏瘫的多种康复治疗方法中,康复器械的应用具有不可或缺且日益重要的作用.目的：从不同康复器械在偏瘫康复治疗方法中的应用原理、现状、效果和今后的发展趋势角度,探索如何将康复器械更有效地应用于偏瘫的康复治疗中.方法：以＂偏瘫,偏瘫康复方法,偏瘫康复器械,矫形器,电刺激,电针＂为中文关键词,以＂hemiplegia rehabilitation,hemiplegia rehabilitation equipment,rehabilitation engineering,hemiplegia rehabilitation robot＂为英文关键词,采用计算机检索CNKI和Medline数据库1996-01/2011-08有关不同康复器械在偏瘫康复治疗中应用的相关文章,排除重复研究及Meta分析类文章,筛选纳入28篇文献进行评价.结果与结论：传统的康复器械在偏瘫康复治疗中的应用得到了加强和拓展.与此同时,将多种康复手段结合而形成的多功能复合型康复器械、将康复器械与计算机技术、生物反馈技术及趣味电脑游戏程序相结合产生的康复治疗机器人,得到了日益广泛的发展.检索结果显示,将康复器械应用于偏瘫康复治疗中,可明显提高患者患侧肢体功能恢复的速度和质量.     

网球肘的综合康复治疗

目的探讨网球肘的综合康复疗效。方法对50例网球肘患者行局部封闭、理疗、按摩、运动疗法及小针刀等综合康复治疗，观察患者症状和体征的改善情况。结果综合康复治疗痊愈率、显效率、好转率、总有效率分别为68．0％、16、0％、12．0％、96．0％。结论局部封闭、理疗、运动疗法及小针刀等综合治疗是治疗网球肘的有效方法。